DAVID D VANDERKIN (MD) – Diagnostic Radiology Physician, NPI 1962407197

DAVID D VANDERKIN (MD) is a healthcare provider. based in Morris, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036109875 (IL). The NPI Number for DAVID D VANDERKIN (MD) is 1962407197

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DAVID D VANDERKIN (MD)
NPI
1962407197
Phone
(800) 379-8731
Address
150 W HIGH ST
Enumeration Date
15 June 2005
Last Update Date
24 March 2014

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
7154478293
Graduation Year
1990 (36 years ago)
PAC ID
3779486030
Group Practice PAC ID
5799688602
Professional Enrollment ID
I20050106000937
Address ID
WI544339674GI320XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for DAVID D VANDERKIN (MD)

  • Morris Hospital, 150, West High Street, Morris, Grundy County, Illinois, 60450, United States

    MORRIS, IL 604501463

    Phone: (800) 379-8731

    Type: Location

  • 39798 TREASURY CTR

    CHICAGO, IL 606949700

    Phone: (800) 379-8731

    Fax: (614) 541-4044

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050106000937IDiagnostic RadiologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view7067$0
77067Screening mammography5454$0
77063Screening 3d breast mammography5050$0
74177Ct scan of abdomen and pelvis with contrast4846$0
71046X-ray of chest, 2 views3333$0
View full utilization report →

Insurance plans in this area (ZIP 60450)

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Provider's Procedures

DAVID D VANDERKIN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71250CT scan chest1615
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front425340
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views1413
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views3734
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views2524
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast3938
DIAGNOSTIC RADIOLOGYIL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2828
DIAGNOSTIC RADIOLOGYIL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2018

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688602View full group profile
NameSpecialtyState
-WI
-WI
-WI
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyWI
Internal Medicine, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)NJ
-WI
-WI
General SurgeryWI
-WI
Nurse PractitionerWI

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Frequently asked questions

What is the standard ID for DAVID D VANDERKIN (MD) in the U.S.?
In the U.S., DAVID D VANDERKIN (MD) is identified by NPI 1962407197.
Is DAVID D VANDERKIN (MD) currently accepting referrals based on NPI status?
Registry metadata lists DAVID D VANDERKIN (MD) as active.
What services align with DAVID D VANDERKIN (MD)'s listing?
DAVID D VANDERKIN (MD)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID D VANDERKIN (MD)?
The directory associates DAVID D VANDERKIN (MD) with Morris, Illinois. Check all listed addresses for suites or satellite offices.
Can I export DAVID D VANDERKIN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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